| NPI | 1720789779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CT RESIDENT) |
| 207R00000X Internal Medicine (Licence: HI MDR-8774) | |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2025-08-29 |